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March 22, 1924


Author Affiliations

Butte, Mont.

JAMA. 1924;82(12):966-967. doi:10.1001/jama.1924.26520380004012e

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Tuberculous ulcer of the lip is perhaps the most rare of all the types of oral tuberculosis. There are two types recognized: (1) the solitary ulcer beginning on the lip itself, and (2) ulcerated areas secondary to mucous membrane lesions of the buccal cavity, or to tuberculous lesions of the skin of the face such as we see in lupus. Of these two types, the former is the more rare. The diagnosis is difficult and must be made differentially, with chancre and epithelioma in mind. Occasionally the lesion is mixed tuberculous and syphilitic. With these facts in mind, we felt that such a case as the present should be reported.

REPORT OF CASE  A miner, aged 26, came to the dispensary in March, 1923, complaining of a chronic sore on the lower lip. He had been drifting from camp to camp, and his social history and the nature of the

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